| Miss Courtney Nicole Jacobs, APRN | |
|
2350 Miami Valley Dr Ste 500, Centerville, OH 45459-4780 | |
| (937) 293-1622 | |
| (937) 245-6308 |
| Full Name | Miss Courtney Nicole Jacobs |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 2350 Miami Valley Dr Ste 500, Centerville, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255976205 | NPI | - | NPPES |
| 0392622 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F10191032 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dayton Physicians Llc | 1456374859 | 40 |
| Entity Name | Dayton Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902844947 PECOS PAC ID: 1456374859 Enrollment ID: O20060112000005 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Courtney Nicole Jacobs, APRN 6680 Poe Ave Ste 200, Dayton, OH 45414-2855 Ph: (937) 280-8400 | Miss Courtney Nicole Jacobs, APRN 2350 Miami Valley Dr Ste 500, Centerville, OH 45459-4780 Ph: (937) 293-1622 |
Brittany Renee Montgomery, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5400 Cornerstone North Blvd, Centerville, OH 45440 Phone: 937-528-7070 | |
Mr. Benjamin Daniel Malcolm, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 S Main St, Centerville, OH 45458 Phone: 937-439-8622 | |
Heather Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Miami Valley Dr, Centerville, OH 45459 Phone: 937-438-2400 | |
Eric Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6611 Clyo Rd, Centerville, OH 45459 Phone: 937-208-8282 | |
Terri M Caputo-jones, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 N Main St, Centerville, OH 45459 Phone: 937-435-1445 Fax: 937-439-7552 | |
Alysha Weeter, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 217 Amber Dr, Centerville, OH 45458 Phone: 937-510-4075 | |
Marie Middleton, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7740 Washington Village Dr, Ste 120, Centerville, OH 45459 Phone: 937-439-7411 Fax: 937-433-8030 |